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FEE SCHEDULE RATES FOR COMMUNITY BASED SERVICES …

FEE SCHEDULE RATES FOR COMMUNITY BASED SERVICES EFFECTIVE JANUARY 1, 2022 All RATES in the table are per 15-minute unit unless otherwise noted. Service Name Staffing Level Procedure Code Statewide Fee Enhanced Communication Statewide Fee Companion 1:3 W1724 $ $ 1:2 W1725 $ $ 1:1 W1726 $ $ Homemaker/Chore 1:1 W7283 $ (hour) N/A 1:1 W7282 $ (hour) N/A In-Home and COMMUNITY Supports 1:3 W7058 $ $ 1:2 W7059 $ $ 1:1 W7060 $ $ 1:1 enhanced W7061 $ $ 2:1 W7068 $ $ 2:1 enhanced W7069 $ $ Older Adult Daily Living Centers 1:1 W7094 $ $ COMMUNITY Participation Support - On Call and Remote Support N/A W9400 $ $ Small Group Employment 1:10 to 1:6 W7237 $ $ <1:6 to 1 W7239 $ $ <1 to >1:1 W7241 $ $ 1:1 W7245 $ $ Benefits Counseling 1:1 W1740 $ $ Supported Employment Job Finding & Development 1:1 H2023 $ $ Job Coaching & Support 1:1 W9794 $ $ 1:2 to 1:4 H2025 $ $ Career Assessment 1.

FEE SCHEDULE RATES FOR COMMUNITY BASED SERVICES EFFECTIVE JANUARY 1, 2022 All rates in the table are per 15-minute unit unless otherwise noted. Service Name Staffing Level Procedure Code Statewide Fee Enhanced Communication Statewide Fee Companion 1:3 W1724 $3.19 $4.24 1:2 W1725 $4.42 $5.99 1:1 W1726 $7.71 $10.69 Homemaker/Chore

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